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DR. MARK BARNARD ODANIEL DO NPI 1164529640


NPI Information

NPI: 1164529640
Provider Name: DR. MARK BARNARD ODANIEL, DO
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Individual

Specialization: Psychiatry

Organization: WAYNESBORO FAMILY CLINIC

PECOS Registration: Yes

Address:
201 NORTH WINSTEAD
SUITE A
ROCKY MOUNT, NC
ZIP 27804
Phone: (252) 937-8222
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DR. Mark Barnard Odaniel, DO is a psychiatry psychiatry neurology in Rocky Mount, NC with 29 years of experience. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. DR. Mark Barnard Odaniel, DO NPI is 1164529640. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

201 NORTH WINSTEAD
SUITE A
ROCKY MOUNT, NC
ZIP 27804-422
Phone: (252) 937-8222
Fax: (252) 937-6622

The NPI 1164529640 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/19/2006 and was last updated on 6/20/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist9700116NORTH CAROLINANo
22084P0800XPsychiatry & NeurologyPsychiatry9700116NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1135V6OTHERNORTH CAROLINABCBS NUMBER
22011617EMEDICARE PIN
32011617FMEDICARE PINNORTH CAROLINA
4G94075MEDICARE UPINNORTH CAROLINA
55903560MEDICAIDNORTH CAROLINA
65903546MEDICAIDNORTH CAROLINA
72011617GMEDICARE PINNORTH CAROLINA
889135V6MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.